Albaraka Bank Limited Non-Profit Organisations Customer Onboarding Questionnaire
Name of Organisation
*
Type of entity (company, trust, etc.)
*
Social Club
Madressa
Masjids
Welfare Organisations (Zakaat and Lillah)
Educational Institutions (Schools)
Customer Number
*
Refer to Subject line on email for the 6 digit customer number
Value of receipts per month
*
below R 50 000
R 50 000 - R 100 000
R 100 000 - R 250 000
R 250 000 - R 500 000
above R 500 000
Nature of the Organisation
*
Details on the nature of the organisation
Anticipated annual donations
*
Capture an amount for anticipated annual donations. Example – R1 million / R1,000,00.00
Anticipated annual donations
*
Yes
No
If yes, what is the date of your latest annual financial statements?
*
No. of employees
*
Under 5
5 - 10
10 - 25
More than 25
None
No. of Volunteers
*
Under 5
5 - 10
10 - 25
More than 25
None
All Volunteers
Other
Period of existence
*
less than 1 year
1 - 5 years
5 - 10 years
more than 10 years
Other
Organogram
*
Name
Chairman
Secretary
Treasurer
Trustees
Other office bearers
Vision and Mission of the Organisation
*
Details of 3 largest programs/services
*
Details of donor base
*
Means of collection (cash, electronic transfer, etc.) from donor base
*
Cash
EFT
In Kind
Does your organisation operate internationally and engage in any cross-border activity?
*
Yes
No
If yes, provide details and jurisdictions:
*
If yes, to which country/ies* are funds being transferred to/received from?
*
Albaraka Bank Limitedwill not process transactions involving the following countries that are listedas FATF High Risk countries: Burkina Faso, Democratic People’s Republic of Korea (DPRK),Haiti, Iran, Myanmar, South Sudan, Syria, and Yemen. Albaraka Bank Limitedwill process transactions involving the following countries that appear on theFATF High Risk List subject to enhanced due diligence: Algeria, Angola, Bulgaria, CôteD'Ivoire, Cameroon, Croatia, Democratic Republic of the Congo, Kenya, LAO PDR,Lebanon, Mali, Monaco, Mozambique, Namibia, Nepal, Nigeria, Tanzania, Venezuelaand Vietnam.**This list is amended from time to time based on recommendations from FATF plenary Mutual Evaluation. Most recent list is available on our website.
Value of annual remittances if conducting cross border transactions
*
Affiliations with any other NPOs/NGOs, government groups, etc.
*
Details of beneficiaries
*
Method of Disbursement to beneficiaries
*
Cash
EFT
In Kind
Comments
*
Form Completed by:
*
First Name
Last Name
Email
*
example@example.com
Contact Number
*
Please enter a valid phone number.
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*
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